EDUCATION AUTHORITY OF THE COUNTY
OF DUMBARTON.

Eighteenth Annual Report

on the

MEDICAL INSPECTION OF
SCHOOL CHILDREN

A

f,

»

1928 - 1929.

(Year ending 31st July, 1929)

KIRKINTILLOCH
PRINTED BY D. MACLEOD, LTD.

CONTENTS.

Prcf&c6j ««• ... ••• ... ... • ••

FA OB

2

List; of S tajff, ••• • * • • • • ••• •••

4

Report on Medical Inspection

5

Report on Medical Treatment, ...

37

Report by School Nurses,

43

Medical Inspection and Treatment Scheme, ...

Appendix

Index, ... ... ... ••• ... ...

55

PREFACE.

To the Education Authority

of the County of Dumbarton.

Ladies and Gentlemen,

I herewith submit the Eighteenth Annual
Report on the Medical Inspection of Children attending schools
in the County, which has been compiled by the Medical Officers.

The Section relating to Medical and F ental Treatment
has been drawn up from returns supplied by the various officials
concerned.

The figures now presented do not vary appreciably from
those submitted in previous years. It is of interest, however,
to note that the general health and cleanliness of the children
is being maintained and that the records of heights and weights
(see Table 7-F) reveal that the average at nearly all age periods
is above not only the Anthropometric Standard but also the
County Standard which was compiled a few years ago.

In view of the alteration in administration due to the
provisions of the Local Government (Scotland) Act, 1929,
I have inserted a detailed statement regarding the Medical
Inspection and Treatment Scheme at present in force in the
County, which will be made available for the new Committees
to be appointed in December of this year.

I am,

Y our obedient Servant ,

THOMAS LAUDER THOMSON, M.D., D.P.H.

88 College Street,
Dumbarton, September, 1929.

4

Education Authority of the County of Dumbarton.

SCHOOL MEDICAL STAFF.

Supervising School Medical Officer.

T. LAUDER THOMSON, M.D., D.P.H.

School Medical Officers.

MILDRED M. L. CATHELS, M.B., D.P.H.
ANDREW D. COWAN, M.B., D.P.H.

Dental Surgeons.

ALFRED C. S. MARTIN, L.D.S.
ELIZABETH M'KENDRICK, L.D.S.
VERA PUGH, L.D.S.

M. WYDNER, L.D.S. (part time).

Ophthalmic Surgeon.

JAMES N. TENNENT, M.B., D.O.M.S., B.So.
(part time).

Ear, Nose, and Throat Specialist.

JAMES KERR LOVE, M.D. (part time).

Dermatologist.

J. GOODWIN TOMKINSON, M.D. (part time).

Inspection and Clinic Nurses.

M. GILMOUR.

C. M. JEFFREY.
S. DOUGHERTY.
*C. B. CLARKE.

E. LYLE.

T? VTTT T?

E.' STEVENSON.
J. SCOTT.

Nurses for Special Schools.

J. L. THOMSON. J. MACDONALD.

Dental Attendants.

ANNIE RAE. AL LISTER FINLAYSON.

♦•MARGARET CRUICKSHANK.
MARION A. W. JAMIESON.

Clerks (part time).

GEORGE S. BROWNE.

AGNES MT\I. KENNEDY.

*Nurse Clarke died 5tli October, 1928.

**Miss Cruickshank resigned 18th January, 1929.

5

REPORT

ON THE

MEDICAL INSPECTION AND TREATMENT OF SCHOOL
CHILDREN IN THE COUNTY OF DUMBARTON.

1.— List of Staff.

See page 5.

2. — (a) Number of Schools.

School Management Area.

Cumbernauld, ....... 6

Kirkintilloch, ....... 6

New Kilpatrick, . . . . . . 5

Old Kilpatrick, . . . . . . .12

Dumbarton, ........ 8

Vale of Leven, . . . . . . .11

Helensburgh, ........ 13

Total, ..... 61

(b) Number of Children on Register and in Average
Attendance.

School Management Area.

Average on Roll.

Average Attending.

Per Cent.

Cumbernauld

958-8

837-5

84-2

Kirkintilloch

3,423-8

3,109-1

90-8

New Kilpatrick,

1,313-3

1,177-5

89-6

Old Kilpatrick,

10,582-0

9,334-6

88-2

Dumbarton,

4,803-8

4,317-8

88-7

Vale of Leven

3,816-5

8,298-4

80-4

Helensburgh

1,720-4

1,486-7

86-1

Total,

20,684-6

23,561-0

88-2

6

3. — Number of Visits for Systematic Examination.

Note. — One whole day spent in school counts as two visits
(morning and afternoon sessions).

Number of visits as above, . . . . 522

4. — Number of Special Visits by Medical Officers.

For re-examination of defective children, . . 4

For examination of backward or mentally or

physically defective children, .... 66

For inquiry about outbreaks of infectious disease, . 3

For examinations for employment licences, . . - 4

Attendances at Clinics, . . . . 228

Attendances at Committee meetings, office work, etc., 66

5. — Sanitary Condition of Schools.

The following improvements in the sanitary arrangements
have been carried out during the year.

At St. Mary’s R.C. School, Duntocher, 2 new hygienic
drinking fountains have been installed.

The new lavatory accommodation at Vale of Leven
Academy (existing school) has now been completed, and is
proving very satisfactory.

The new primary school in Argyle Street, Alexandria,
will be ready for occupancy when the schools re-open after the
Summer Vacation. This scheme includes adequate and
modern lavatory accommodation.

In Knoxland Public School, Dumbarton, several of the
old cloakroom basins have been replaced by a more modern
type.

Alterations carried out in Lairdsland Public School,
Kirkintilloch, included the provision of a new room for the
Head Teacher, with suitable lavatory accommodation.

The lavatory accommodation for Junior Girls at Milngavie
Public School has been completely modernised.

The alterations to Westermains House, Kirkintilloch,
have now been completed, and the scheme makes provision
for ample and modern cloakroom fittings and lavatory accom-
modation.

7

6.— A, B, C, D, and E.— Organisation and Administration, etc.,
and Co-ordination with Public Health Departments.

For outlines of organisation and administration see Reports
1914-1915, pages 7-8 ; and 1922-23, pages 7-8.

Nurse C. B. Clarke died on 5th October, 192S, after a few
days’ illness. Nurse Young did temporary duty until Decem-
ber 17th, when Nurse Jane Scott commenced duty.

Miss Crui kshank resigned ISth January, 1929, and Miss
Marion Jamieson took temporary duty from 21st January,
and was appointed as dental assistant on ISth March, 1929/ ’

6. — F. Parents Present at Inspection.

School Management Area.

Number of
Children
Examined.

No. of Parents
Present at
Routine
Examinations.

Per

Cent.

No. of Parents
Present at
Non-Routine
Examinations

Cumbernauld,

300

52

17-3

24

Kirkintilloch

1031

314

29-9

30

New Kilpatrick, ..

410

132

31-7

1

Old Kilpatrick

3187

1354

42-5

282

Dumbarton, -

1463

397

27-1

333

Vale o f Leven, . . . .

1235

571

40-2

441

Helensburgh

580

219

37-7

214

. Total, . . . .

8232

3039

36-9

1325

The Physical Condition of the School Children.

4. — Total Number of Children Examined.

SNIinOH-NON

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7.— B. Number of Children notified to Parents as suffering from Defects.

school Management area.

Cumbernauld.

Kirkintilloch.

New Kilpatrick.

OLD

KILPATRICK.

Dumbarton.

Vale

OP Levkn.

Helensburgh.

Total.

Number of Routine Cases examined, ..

300

1051

410

3187

1403

1235

580

8232

Card.

Routine.

Non-

ltou-

tlnc.

Routine.

Non-

Rou-

tine.

Routine.

Non-

Rou-

tine.

Routine.

Non-

Rou-

tine.

Routine.

Non-

Rou-

tine.

Routine.

Non-

llou-

llnc.

Routine.

Non-

Rou-

tine.

Routine.

Non-

Rou-

tine.

Defect.

No.

Per

Cent.

No.

Per

Cent.

No.

Per

Cent.

No.

Per

Cent.

No.

Pei

Cent.

No.

Per

Cent.

No.

Per

Cent.

No.

Per

Cent.

A.

Vermin or Nits on Head, . .

3

0-9

13

1-2

2

0-4

114

3-5

3

199

13-0

3

135

10-9

29

5-0

2

495

00

8

G.

Vermin on Clothing

0

1*0

4

0-4

11

0.3

1

11

0-7

8

0-6

3

0-5

2

43

0-5

3

J.

Unsatisfactory Footgear,

3

09

1

2

0-2

2

0-4

3

0-09

1

1

0-06

3

0-2

14

0-1

2

K.

Unsatisfactory Clothing,

1

0-3

2

0*2

12

0-3

34

2-3

13

1-0

4

0-0

00

0.8

D.

Tonsils and Adenoids, .. ..

5

1-6

2

11

1*0

1

3

0-7

3

110

3-0

41

107

11-4

71

124

10-0

63

54

9-3

19

480

5-8

200

E.

Ear Disease,

2

o-o

1

12

0-3

7

0

0-4

1

3

0-2

23

0-2

9

H.

Defective Vision and Eye Disease,

9

2-9

2

42

4-0

14

4

0-9

2

113

3-4

82

107

7-3

53

05

5-2

41

32

5-5

32

372

4-5

220

MJ.M.T.

. 1

0-2

1

0-03

1

0-00

3

003

U.M.T.

Already under Treatment, ..

1

0-3

1

10

0-8

3

7

1-0

3

41

1-2

14

18

1*2

17

1-3

3

0-5

97

1-1

21

P.A.

Parents Advised,

15

4-9

24

81

7-7

30

21

5-0

1

444

13-9

282

394

20-9

333

550

45-0

441

190

33-8

214

1707

20.7

1325

i

Total,

45

31

105

”

48

40

9

807

431

938

401

924

..

M3

321

209

3300

1794

SUFFICIENCY. REPAIR. j CLEANLINESS.

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School

Management

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Boys,

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Total, j

Boys,

Girls,

Total, ]

Boys,

Girls,

Total,

« ta

o*2

Total,

Boys,

Girls,

Total,

ii

p;o

Total,

Boys,

Girls,

3

o

H

Bovs,

Girls,

_r 1
§ !

2

Cl

i

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o

Kirkintilloch,

* Kilpatrick,

Old

Kilpatrick,

Dumbarton,

Vale of Leven,

Helensburgh,

a

Footgear.

10

H

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H

O

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Number.

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Number.

100

132

Cl

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1505

3137

t'- Cl
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270

290

560

3973

3952

7925

Number

Examined.

f'- co

O CO

rH r— <

o

o

504

547

1051

224

192

410

to -*
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1235

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d to

089

4152

4080

8232

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

|

SCHOOL

MANAGEMENT

AllEA.

Cumbernauld,

Kirkintilloch,

■

New Kilpatrick,

Old Kilpatrick,

; Dumbarton,

| Vale of Leven,

•a

a

1

B

■s

W

Total,

7.— F. Average Heights and Weights in Inches and Pounds,

10a

B)YS.

SCHOOL

MAN~AGE3*E>T

Am.

Entrants.

Age 8.

Age 12.

Age 10.

©

a

S

«*

M

w

.o

a

p

z

Avcrago Ago.

Helg

ht.

Weight.

Number Examined.

Average Age.

Height.

Weight.

Number Examined.

Average Age.

He

lght.

W’e

ght.

Number Examined |

1

Average Age.

Height.

Weight.

o

V

1*2

ciS

Anthropometric

Standard.

Anthropometric

Standard.

Anthropometric

Standard.

Anthropometric

Standard.

Anthropometric

Standard.

Anthropometric

Standard.

Anthropometric

Standard.

Cumbernauld,

6S

5,-,

41-3

41-0

39-7

39-9

57

8)!

49*2

47-0

50-0

54-9

42

12 ft

55-4

64-9

76-5

76-7

04-3

119*0

lirkintiDock,

IS S

5ft

41-5

„

40-2

192

8{?

48-3

„

558

„

168

12ft

65-3

»

75-0

0

16ft

60-1

127-0

„

Sew Kilpatrick,

S6

5,*,

42-1

„

44-3

78

SIS

48 "3

„

68-2

„

54

12ft.

66-3

»»

81-3

6

18ft

60-8

129-1

„

Old Kilpatrick,

5S6

5,*.

42-1

„

40-9

543

8,*-

48-4

»

54-3

*>

459

12ft.

55-1

»

75-0

»

15

10 ft

07-0

132-3

Dumbarton,

215

6

42-8

„

41-6

238

8 ft;

48-5

54-4

„

240

12ft

54-8

»»

72-8

31

16ft

03-1

110-9

„

Sale of Leveo,

23S

6

42-8

„

41-5

248

8ft

48-4

„

53-7

„ j

154

12ft

65-7

»

70-3

»

10

10 ft

06-9

,p

121*0

„

Helensburgh,

96

m

43-7

43-3

104

8ft

48-9

»

54-1

” !

60

lift

55-6

■>

76-5

11

10

64-2

■■

112-7

-

Total,

1427

5ft

42-3

41-0

41-6

39-9

14G0

8ft

48-5

47-0

55-2

54-9

1186

12 ft

55-4

64-9

70-3

70-7 j,

79

10 ft,

65-5

64-3

122-1

119-0

41-4

40-6

48-3

54-0

County

54-9

73-7

County

G4-0

118-8

Standards.

inches.

lbs.

Standards.

inches.

lbs.

Standards.

inches.

lbs.

Standards.

inches.

lbs.

30

182

73

582

204

200

101

1384

6ft

5ft*

6 ft*

6

5!S

Entrants.

Height.

40- 8

41- 5

42- 4

41- 9

42- 7
42-7
42-7

42-1

Weight.

38- 3

39- 3
43-0

39- 2

40- 0
40-9
40-8

County

Standards.

41-3

inches.

40

39-3

lbs.

GIRLS.

Age 8.

51

180

04

495

230

225

107

8 ft,
8{?
81?
815
8 ft.

8l72

8 A

1358

County

Standards.

Height.

48- 8

47- 9

49- 5

48- 1
47*7
40*9

49- 0

6 .
o

c/E

P

48-2

inches.

Weight.

53-0

53-5

56-2

51-8

50-8

50-9

53-8

62-9

a .

o —

O <9

51-9

lbs.

46

173

51

500

200

146

79

Age 12.

12ft
12ft
12ft
12ft
12ft
12 ft
12ft

12ft

County

Standards.

Height.

55- 5
50-1
50-8

56- 1
65*2
56-0
50-9

50-3

561

inches.

Weight.

81-5

77-0

81-8

76- 9

73- 1

74- 4

77- 9

77-5 76-4

73-4

lbs.

Age 16.

16ft
16 ft
16ft
10 ft
16ft
16ft

16ft

County

Standards.

Height.

61-7

61-6

63-9

62*4

61- 9

62- 7

62-3

a .

a-s

*

«*7

62-2

inches.

Weight.

116-0

109-0

124-9

112-0

109-0

114-0

114-2

O 05
£a

♦It has been felt that the Anthropometric Standard is not satisfactc Because it is based on an insufficient number of observations. A County of Dumbarton Standard has therefore been arrived at by combining and averaging the figures in previous Annual Reports for a number of years back.

The following table shows the number of observations on which the County Standard is based taken from Annual Reports 1919-20 to 1926-27.

Entrants.

8 Years of Age

12 Years of Age.

16 years of Age.

Number Examined,
| Average Age,

Boys.

Girls.

Boys.

Girls.

Boys.

Girls.

Boys.

Girls.

13,091

°fti

12,429

5ft

9,146

8ft

9,014

8ft

14,013

12 ft

14,064

510

1.6 ft.

531
10 ft:

I

.

CO .

W 1

d

55

S3

Vermin.

1

iH

rH

NON-ROUTINE CAS

O

Nits.

:

Q

◄

W

W

Nits. | Vermin.

tO

• •

CO

; ;

00

: :

rH

H

: ;

(M

: :

:

; ;

• :

rH

r-i

ROUTINE CASES.

d

5*;

Vermin.

vO

1-8

O

6

CM CO
66

0-3

Cl Cl
66

0-2

'?

66

-f

6

cp ©
66

'T

6

CO CO
6 6

0-3

COCO

66

CO

6

No.

CO •

CO

rH ci

CO

: :

CO

03

«o

CM ^

©

rH r-i

Cl

oco

•— i rH

CO

Cl

g"

o

O

tn

vO

O'*

1-2

0-6

ci

66

0-3

.u?
• 6

*!

6

90-0

0 03

Cl •
6

T-0

• :

:

CO CO
66

0-3

ClrH

66

T-0

S

No.

CM •

CM

CM rH

CO

• rH

rH

rH •

rH

Cl •

Cl

; ;

•

rH r— i

00 CO

— — 4
rH

Q

d

•sP

■ •

•

*6

T-0

66

0-2

o 6

6

O r-i

6-0

•6

c-o

OO

0-3

E

o

>

No.

• •

:

* rH

rH

• •

00

rH ©

HO

rH

r-i

•Cl

Cl

© re

Cl

a

Cl

W

H

Nits.

sP

CO N

oo

CO

CO

CM CO
6 6

2-8

• H

*co

1-4

0-7

10-6

6.6

co

6

CO

Cl

r^»

rH

3-8

28-0

15-3

cp ©

Hin

rH

0-8

1-6

16-0

c-

do

No.

rH a

o

rH

r-i ©
CM

o

CO

•©

©

11

109

180

— « Cl
Cl CO
CM

253

to -H
Cl o

rH

©

CO

rH

©C-

h*

Cl

©

©

©to

©

720

No. of
Rou-
tine
Cases
exam-
ined.

167

133

300

604

617

1051

•* ci
<M©
(M — <

33

wj«

CO ■**
C 00
5 4-0

r-< »— I

3187

©
Cl CO

1463

650

585

1235

280

300

580

4152

4080

8232

Boys,

Girls,

Total,

Bovs,

Girls,

Total,

Bovs,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Is

SO

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

SCHOOL

MANAGEMENT

AREA.

Cumbernauld,

Kirkintilloch,

New Kilpatrick,

Old Kilpatrick,

Dumbarton,

Vale of Leven,

Helensburgh,

Total,

Cleanlinoss of Head and Body.

(b) Cleanliness.

12

■

a

I

■

M
! fc
H
D
O

ei

5?:

o

55

BODY.

Bad.

*

00

; •

oo

C

Hi

a

*3

cS

|H

; ;

:

00

: •

CJ

00

K

00

■<

o

*d

cS

vO

o

o .
6

cs

6

< N
• 6

CS

6

H* .
6 *

Ol

6

#cs
• 6

6

Ol •
6 *

6

.00
• 6

H<

6

•

rH CS
66

Ol

6

o*

fc

H •

rH

• H«

H*

rH •

rH

• us

us

oi ;

01

• us

us

:

H< H*

rH

00

«H

BODY.

B

•a

o

£

O

GO O
h* 6

V

o«

Ol CO

01

CS

■H ip
66

H<

6

Ol CJ

cdoi

©

6

H* CJ

©

6

0 o

01 6

ip

6

GO CS

o’i 6

ip

di

oo 9
di 6

o

6

o

fe

00 Ol

o

CS -4

r— < Ol

H*

CO

rH rH

Ol

—I ©
US H>

i-

CJ

a a

Hi

US

coco

rH rH

rH

CS

00 t>

us

rH

119

124

cs

H<

Ol

Good.

nO

o up
h* »

CJ CJ

6

gj

H< up
tv US
CJ CJ

lO

6

o

99-2

99-5

H<

6

o

op CO
6 6
CJ©

cp

6

CJ

H< -H
6 6
CJ CJ

cs

6

CJ

9S-0

90-2

rH

d-

CJ

Ol tv.

d- d-

CJ o

l?

lv-

CJ

97-1

96-7

9

6

CJ

o

£

CO w

r—< r— <

CJ

00

Ol

»H Ol

c: oi

H* US

CS

©

01 rH
Ol CJ
Ol rH

CO

H*

Ol CO

us co
»n m

rH rH

3085

697

710

tv

O

H*

iH

637

562

CJ

CJ

rH

oi cs

I*- CJ
Ol 01

in

o

us

CJ Ol
Ol rr

OCJ

CS

rH

Iv-

es

tv

I'

p

o

«

*3

rt

nO

: :

:

.<M
* O

rH

6

: ‘

•

0-0G

0-1

rH

6

•Ol
* 6

rH

6

.ip
• 6

Ol

6

; ;

•

0-02

0-2

rH

6

o

;

• rH

rH

• :

•

rH 01

cs

•01

01

• cs

CS

• :

:

rH 00

CJ

Q

■<

a

£

V«

CO up

•H rH

O

rH

T* O
rH CS

ip

Ol

: :

•

rH in

ci 6

op

Ol

Ol H*
6 H<

GO

6

9N
6 6

GO

Ol

H< O

di oi

Ol

di

rH H*
6 CS

t-

oi

o

£

o

£

CS Ol

VO

tv o

Ol

tv

Ol

: •'

•

m ©
cs u:

rH

CJ

h«cs

OICS

tv

us

CS Ol
rH Ol

us

cs

D- O

cs

rH

89

139

00

Ol

01

-o

o'*

«M US
JO CO
O CJ

H<

CIO

cj

98-0

00-2

H<

d-

CJ

100-0

100-0

100-0

CO H<

d- 6

CJ CJ

rH

h-

CJ

cc -t
© in
CJ CJ

rH

6

CJ

98-0

95-8

o

d-

CJ

?o
£00
CJ CJ

00

A-

CJ

GO H<
t*-6
CJ G3

Ol

tv

c>

o

a

o

&

*o cs

us

CJ

Ol

tv o
O 01
rr US

CS

Ol

o

H* 01
Ol CJ
Ol rH

o

5

I- o
© 01
us ».n

rH r-

os

CJ

o

cs

O H<
3 O
tv l-

H*

H*

rH

r- o

CS ©
© US

!*»

CJ

•H

OS HI

o

Ol Ol

fv-

CO

US

4062

3933

us

CJ

CJ

c-

No. of
Itou-
tluo
Cases
exam-
ined.

N CS
CO CS

.— -H

o

o

CS

504

547

»n

o

HI Ol
01 CJ
Ol rH

o

rH

Hi

CS CO
o US

r-^ r-H

tv

00

OS

H* CJ
01 CS

l" tv

5.2

o‘.P

«o

CS

©

H*

rH

650

585

US

cs

Ol

rH

2S0

300

o

GO

US

4152

4080

Cl

cs

d

* i

3

o

H

to cn

>»-r

0^3

«a

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Is

o

H

Boys,

Girls,

Total,

'rt

—

o

H

Boys,

Girls,

i

o

Boys,

Girls,

■a

o

H

Boys,

Girls,

SCHOOL

MANAGEMENT

ABBA.

Cumbernauld,

Kirkintilloch,

£

0

1
a

a

>

0>

Old Kilpatrick,

Dumbarton,

Vale of Leven,

Helensburgh,

S

o

H

?

13

The following table shows at a glance a summary of the
previous table [7. — G (a)], i.e., children in each area showing
evidence of verminous condition of the head or body or both.

School

Management

Area.

Number of
Routine
Cases
Examined.

Number
showing
evidence
of Vermin.

Percentage.

1

Cumbernauld, . . . .

300

15

50

Kirkintilloch, . . . .

1051

37

3.5

New Kilpatrick

416

7

1.7

Old Kilpatrick,

3187

197

6.2

Dumbarton

1463

268

18.3

Vale of Leven, . . . ,

1235

206

16-7

Helensburgh

!

580

58

10.0

Total,

8232

788

9-6

14

a

c r.
<
O
a
as

o

P$

fc

o

Very

Bad.

H

: :

rH

: ;

:

: :

•

: :

ei

Below

Average.

• :

H

: :

•

: ;

•

: ;

Cl

: :

•

: :

rH

: :

•

: :

i

Routine Cases.

Very

Bad.

>P

•

Oh
O 6

0-3

<M a
©6

9-0

t«- to
66

90

; ;

:

CO CO

OO

E-0

o

*5

•

Cl Cl

rH

rH

Cl f-

Cl

to CO

CO

: :

•

O Cl

rH rH

23 |

Below

Averago.

vO

99

CO 6

00

o

rH 9
6 ^

t-O

v*

9 9
6 ci

9

rH

9fs.

lO 6

0-2

r- ?
6 ^
rH — ‘

13-8

V*

6 rH
H — <

11.9

9 9
6 ■«*

5-1

99

Obt'r

CO

i

No.

O Cl

r^

*H

O Cl
Cl Cl

48

3-1 >0

t-

01

107

198

-*X
— 00
rH

202

•H

00 CO

148

t>- ?0
>H rH

08

336

314

1

e |

to !

«o

o

tc

a

vO

02-8

70-8

85-6

00-2

90-2

90-2

i— t »o

rH 6

O CO

89-0

^ tT

6f^
CO CO

00

oo

78-9

83-6

Cl

t—4

00

9 T*
6 6
00 X

84-2

88-0

91-4

8-68

9 °P

tC. 6
CO X)

86-9

«

>

C

No.

t-O Cl
t-O O

H rH

257

454

493

947

204

166

370

1435

1388

2823

570

617

1187

o r>-

H* Cl
lO Tj<

1037

246

274

520

r*N
O TO

om

coco

7141

Above

Average.

vO

4-2

14-2

8-6

t'- 00

uo

50

to

8 0
10-9

Cl

Clio

tO

CO

5-2

3-6

9 9
6 6

3-3

9 9
6

6-1

r>. co
■<* 6

0-9

No.

ci

rH

o

Cl

01
(M CO

o

to

CO r-l
rH Cl

Ol

CO

oo r*-
© CO

155

co r-

co ci

iO

o

00
CM rH

Cl

D- CO

rH rH

30

196

217

413

Number of
Routine
Cases.
Examined.

!>. CO
O CO

r4 H

300

h-

o **

iO to

1051

224

192

416

1603

1584

3187

724

739

1463

650

585

1235

280

300

580

4152

4080

8232

Bovs,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Bovs,

Girls,

Total,

Boys,

Girls,

Total,

H

as

«

§3*

O c &

a

O S5

to ,j

a

Cumbernauld,

Kirkintilloel),

New Kilpatrick,

Old Kilpatrick,

Dumbarton,

Vale of Leven,

Helensburgh,

Total,

Teeth

• 15

H

55

E
p -

Oral

Sepsis.

; ;

-

; ;

;

: :

Cl

rH

: :

o

Pj

£

o

5 or more
Decayed.

m

W

CD

, , 03

Per

Cent.

CD

6 6

9-0

O '+

Cl rH

1-7

co to
hC

6-0

CO rH
rH Cl

1-7

cl -t
tO l"

0-3 .

XC3

9-2

C l CO
rf S3

6-8

CO rf

3-9

S £,

O oT
x

No.

rH t— <

Cl

©X

r— 4

00

rH

CO rH

■«*

Cl CO
Cl CO

1

».o

1.0

m

55

CO

C3

c-

to to

114

Cl x

rH d

§

CO CO
■C X

rH rH

©

Cl

CO

.a

a

O

Per

Cent.

12-5

9-7

I-IT

15-1

15-3

15-2

19-2

19-2

19-2

10-5

14-0

15-3

10-3

10-5

16-4

17- 0

18- 5

17-7

13-2

17-3

15-2

16-2

15-6

15-9

a g

o

o

o

-H co

Cl rH

■r*

CO

O

I- 00

100

co r-»
co

©

X

205

221

©

X

118

122

240

801

in

219

t>- Cl
co to

89

671

037

X

o

CO

^ !

o

W

55

O

1 to 4 Teeth
Decayed.

Per

Cent.

47-3

331

Cl

6

UO rH
rH rN
Tt<

GO

Cl

Cl
C3 01
CO nr

©

e

CO ©
rf l.0

*1'

44-0

40-8

44-9

45-9

to CO
CO

to to

53-9

50-4

45-0

47-7

40-2

45-6

1

S3

tn

•sj*

o

ft

03 -t

CO

Cl
— <

209

241

450

C3 rH

X X

170

709

713

1422

339

332

071

r* Cl

O rH

CO CO

000

-H 1.0
f CO

rH rH

©

d

1920

1858

3778

J3-

tj

O O
£>>

Per

Cent.

40-2

57-2

48-7

43-4

40-6

42 0

41-1

38-0

008

39-2

41-0

40-1

80-9

38-0

»>•

CO

28-5

28-2

X

Cl

36- 4

37- 7

37-1

37- 6

38- 8

38-2

h2‘
O o

No.

r- o
co

143

03 Cl
r-4 Cl

Cl 01

441

Cl ■**
C. C-

100

029

050

1279

207

285

Cl

©

o

185

105

350

102

113

215

1501 •
1585

CD

T

rH

CO

•So
o !

Ex-

amined.

107

133

300

504

647

1051

^Cl
Cl C3

Cl rH

410

CO

O X
O I.o

rH rH

3187

-* C3

Cl co

1403

650

585

SCSI I

11

680

4152

4080

Cl

CO

Cl

X

Boys,

Girls,

Total,

Bovs,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

cn tr

c i
p;c3

Total,

Boys,

Girls,

Total,

Boys,

Girls,

1 Total,

j

|L

pg«

CO (r,

a

Cumbernauld,

Kirkintilloch,

New Kilpatrick,

Old Kilpatrick,

Dumbarton,

Vale of I,evcn,

Helensburgh,

Total,

Nose, Throat, and Lymphatic Glands.

16

O

£

Non-

Routine.

CO

03

*— •

CO

CJ

\o

rH

1

UO

rH

00

lO

Total.

d

a

Per

Cent.

1-0

i-i

0.2

©

03

5-7

6-7

0-0

3-3

3

O

No.

»o

03

rH

rH

H*

©

00

rH

r-

v-O

CO

272

c

iS

o*»

o

C4

rH

rH

CO

;

CO

O

rH

S

Q>

o

d

_c

Per

Cent.

so

T-0

:

0-1

T-0

•

:

0-1

3

O

«

o

#25

pH

rH

;

rH

:

:

a

o

Non-

Routine.

03

rH

rH

ci

H*

Hit

00

03

*3

o

5

43

n

d

j=

Per

Cent.

so

0-7

;

1-3

H*

CJ

H*

6-0

2-5

o

3

O

ri

6

rH

00

:

CO

UO

o

r-H

CO

CJ

CM

207

Non-

Routine.

:

:

•

rH

uO

to

o

CO

rH

cj

o

d

.2

Per

Cent.

1-0

0-3

zo

0 5

1-2

CO

6

0-T

c

o

No.

CO

CO

rH

N

rH

00

rH

o

rH

«o

00

tO

Number of
Routine
Cases

Examined.

008

1051

416

3187

1463

1235

580

8232

-«

w

<

E

W

5?

w

o

-d

◄

a

o

o

c

o

C/2

Cumbernauld, . .

Kirkintilloch,

New Kilpatrick, ..

Old Kilpatrick,

Dumbarton, . . . .

Vale of Loven,

Helensburgh, . . . .

g

o

7. — H. Condition of Skin

15a

•

School

Management

Area.

Eczema.

Ringworm.

IMPETIG

O.

Sores.

Scabies.

Alopecia.

PSORIA8IS.

Others.

Rout

ine.

Non-

Routine.

Routine.

Non-

Routine.

Ro

utlne.

N

Rou

on-

tlne.

Rout

lne.

N

Rou

ra-

tine.

Routine.

Non-

Routlne.

Routine.

Non-

Routine.

Routine.

Non-

Routine.

Routine.

Non-

Routine.

Non-

Number of
Boutina
Cases
Examined.

Head.

Body.

Head.

Body.

Head.

Body.

Head.

Body.

He

ad.

Body.

Head.

Body.

H

ead.

Be

)dy.

Head.

Body.

Bo

dy.

Body.

Head.

Head.

Body.

Head.

Body.

Head.

Body.

Head.

No.

%

No.

%

No.

%

No.

O'

/o

No.

%

No. %

No.

%

No.

%

No.

%

No.

%

No.

0/

/o

Body.

No.

%

No.

%

No.

%

No.

%

Cumbernauld,

$00

2

0-6

0

2

0-G

6

Kirkintilloch,

1051

1

0-1

8

0-7

1

0-1

1

1

0-1

2

1

01

1

2

0-2

1

10

0-9

4

0-4

2

3

[ Sew Kilpstrlcl

416

3

0-7

1

1

0-2

4

0-9

1

Old Kilpatrick,

3187

1

0-03

2

S

0-2

10

2

40

1-2

4

0-1

33

3

0-1

2

0-06

8

4

! o-i

12

2 •

0-00

2

1

0-03

2

0-06

54

2-2

13

0-4

45

24

Dumbarton,

1463

3

0-2

3

o

5

4

0-2

1

0-06

54

3

0-2

1

0-00

32

7

3

0-2

25

1

0-00

5

2

0-1

4

• •

*

0-2

11

0-7

7

0-4

99

38

Vale of Leven,

1235

2

01

2

1

0-08

9

5

0-4

*•

19

4

0-3

17

4

7

0-5

19

1

0-08

3

2

0 1

1

2

0-1

3

9

0-7

15

1-2

39

38

, Helensburgh.

580

7

3

2

0-3

**

9

1

••

1

0»1

3

1

1

2

1

0-1

2

1

01

2

0-3

3

0-5

17

12

Total,

8232

6

007

3

13

10

0-1

18

11

64

0-7

0

0-07

122.

1

0

0-07

8

0-1

53

20

15

0-2

69 .

6

0-07

13

0

0-07

7

11

0-1

4

92

1-1

42

0-4

209

115

17

T

c

«

o

•a

c

rs

rs

o

J=

H

o

<n

■

I

■

K

o

H

e

a!

||
^ o

«

4

5

18

35

©

Removed

Routine.

Per

Cent.

1-6

5-1

5-7

0-2

13-6

10-5

10-8

O

6>

o

5

54

24

199

199

204

63

00

-*

T3

Qi

CO

Non-

Routine.

2

3

15

32

6

CO

©

e3

•a

w

•8

a

a

Routine.

Per

Cent.

0-3

21

13- 4
11-6

14- 0

o>

©

o

ft

1
* *

69

197

144

82

493

Enlarged.

Non-

Routine.

© ^ iH r-4 © Ol

rf ** ^ N

164

Routine.

Per

Cent.

6-6

4-8

3-1

8-5

10- 7

11- 1
13-2

GO

00

o

ft

20

51

13

271

157

137

77

726

Number ot
Routine
Casca
Examined.

300

1051

416

3187

1463

1235

680

8232

◄

<

18

£

• <S»

£

o

T

j2

o

c

rt

a

o

<D

in

Non-

Routine.

• • • -* CO £4

• N CO

C©

CO

Removed.

O

Per

Cent.

0-6

4-3

6-2

4-9

13-0

10-1

10-1

Ol

00

T

No.

2

46

22

150

190

200

59

to

CO

r_

Suspected.

Non-

Routine.

O'! • • CO iH rH •

C5

3

Per

Cent.

1-3

1-0

0-7

3-0

5- 7

6- 7

7- 0

c>

CO

P

O

o

4

11

3

97

84

83

41

CO

<N

co

Present.

. ©
a a

O

*§

3

4
1

41

28

30

16

123

Routine.

[ Per
Cent.

1-3

0-4

0.2

M

0-4

0-5

0-3

o

o

4

5
1

36

6
7
2

th

co

Number of
Routine Cases
Examined.

300

1051

416

3187

1463

1236

680

8232

H

S5

W

3

3 -4

■S3 .

o

o

g

o

CO

Cumbernauld

Kirkintilloch,

New Kilpatrick

Old Kilpatrick,

Dumbarton

Vale of Leren

Helensburgh

Total,

1

Nose, Throat, and Lymphatic Glands — continued.

(c) Lymphatic Glands — Submaxillary and Cbryioal.

19

•autinoa

.

-aoii

*

©

£

§ !

vO

CO

lO

Cl

CO

d

t—i

Cl

m

a>

•s 1

6

6

•

6

6

0

b

6

CJ

p

o

*—<

0

.

00

m

£

S

5

<3

•

Cl

&

•sannofl;

•— <

H

d

-uoN

X

©

vO

CO

N

0

m

m

in

CO

O

6

6

6

*-<

0

H

**

H

-«

.Q

P

o

6

00

00

Cl

CJ>

00

CO

CO

1—*

d

H

00

•oannoyr

-ion

crt

.

JJ

©

Cl

vP

bu

M

a

V

O

p

o

d

d

Ph

52;

P<

P«

P

E?

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H

©

a

•*->

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o'-

0-2

T-0

CO

0

0

p

.Q

o

d

rH

CD

3

CO

«

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.

•

-uon

c;

©

5?

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©

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c

ci

O

3

■a

w

525

•

E-

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TD

c3

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ej

M

«

©

5?

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:

0-1

0-1

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a

3

o

d

r— <

rl

H

CO

CO

Ph

25

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.

.

.

-uoii

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©

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o

£

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a

vfl

0^

0-3

0-2

0-1

X-0

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o

p

o

P$

No.

H

00

d

H

d

H

•au^noji

rH

CO

-*

CO

r-4

d

O

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a

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2

.

0

t"*

CO

rf<

in

c5

©

2

*

6

6

-

0

in

CO

3

.O

3

O

No.

•

0

co

m

CO

in

CO

Cl

CO

s

CO

«

—

d

©

0

CO

in

0

d

o.2

» . a

00

0

CO

• -e w x

CO

0

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r->

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CO

•— 1

H

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t-
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•

•

:

:

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o u

W

2

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r

0

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>

£

%

00 Jr,

◄

p

I

©

£2

0

2

♦3

Cj

2*

5

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cd

P.

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w

0

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c

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B

A

►

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S

3

©

To

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w

r.

b

p

>

w

External Eye Diseases.

20

CO

a*

Non

Rou

tine.

rH

rH

; ;

•

• '

rH

• :

:

: ;

1

CO

s

3

M

a

u

o

3

O

*>

3

vO

0s*

;

Cl Cl
66

0-2

Cl Cl
66

0-2

0-1

0.06
1

0-1

..

00

©

6

; ;

•

■H rH
66

rH

6

b

o

No.

;

rH rH

d

-* CO

c-

rH •

rH

rH •

rH

: :

:

-*

rH

• | C 3 0
® 1 COS

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rH

: ;

Cl

• :

o

• '

o

r-H

• •

O

• •

to

; ;

o

CO

o

rt

C.

O

7s

4)

a

h

O

o

d

a

nO

1

c-

16

0-3

■H* 9
6 6

9

6

CO CO
66

£-0

H* 9
66

06

CO to
66

6

■H* CO

rH 6

80

cp 9
66

6

CO

CO

3

o

No.

• ^

rH rH

Cl

to to

o

rH

CO

o

rH

d co

to

Tjt rH

to

to rH

rH 01

Conjunctivitis.

Non
| Rou-
jtine.

; :

CO

: ;

rH

; ;

20

: ;

CO

rH

; :

o

; :

CO

: :

Cl

•o

6

a

vP

O''

• •
• •

Cl .
6 •

0-1

0-4

0-2

9 rH

O 6

01

; ;

;

CO rH
6 6

Cl

6

.cp
• 6

T-0

Cl rH
66

1-0

3

O

Ph

No.

HO

rH

r- 1 •

rH

Cl

O

: :

;

Cl rH

CO

• rH

-

CO H*

d

rH

Blepharitis.

C3li
o o =

: :

CO

* •

;

; •

00

rH

i :

rH

• ;

rH

; ;

•

: •

Cl

O

Routine.

vP

O^

1-2

0-7

60

oo o
66

op

6

0-4

Cl

6

v 9
6 6

0-4

9 ci
6 ^

0-8

Cl CO

rH rH

Cl

rH

99

rH 6

1-0

o oo
66

0*7 i

i

No.

d I— <

CO

T}* tO

o

rH •

rH

to Ci

-*

rH

H* C5

CO

CO 00

O

r-H

COCO

co

to
Cl co

Cl j

co ;

i

Strabismus.

Non-

Rou-

tine.

: ;

01

■ •

rH

• :

:

• :

20

; ;

£>

: •

16

• :

; ;

o

to

d

5

9 9

CO cl

o

Cl

9 o
6 ci

N»

rH

i-’o

0-5

•H* o
Cl Cl

9

d

oo

6

CO

6

COCO

rH rH

1-8

90

Cl rH

O

d

do

Cl cl

H»

Cl

3

O

No.

to CO

CO

Cl co

r— (

00

rH

•Cl

Cl

Ci Cl
CO ■<*

rH

00

Ci r*-
d Cl

56

d rH
rH rH

23

to

d

94

106

1

« !
co

u5

■Sisk'S

o 5 cjW-~

i

l>» CO
CO CO

—i —4

300

-f h-
O -1*
tO tO

1051

224

192

416

CO

oco

CO 1.0

r— « t-H

3187

-f c;

Cl CO
t" t-r

1463

650

585

to

CO

d

r-4

280

300

o

CO

to

4152

40S0

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Boys,

Girls,

Total,

Bovs,

Girls,

Total,

"S

Boys,

Girls,

| Total,

SCHOOL

Management

Area.

Cumbernauld,

Kirkintilloch,

New Kilpatrick,

Old KUpatrick,

Dumbarton,

Vale of Lcven,

I

&

03

3

0}

u

w

Total,

I

Ear Disease.

21

Hearing.

22

d
a a

° 3

a o
S4

3

10

8

15

4

40

Total.

d

a

d
u a

p «

PhO

1- 3
1-1
0-2
1-2

2- 3
2-6
20

0-1

o

Ph

o

z;

4

12

1

38

35

33

12

135

Very Deaf.

Non-

Routine.

• ^ r-i •

d

a

d
m a
a a.’
P-O

0 03
0-2

0-1

O

No.

• • • i-H ^ • •

O

Slightly Deaf.

. d
e 5

O ■**
*§
Ph

3

15

7

15

4

•<*

Routine.

Per

Cent.

1- 3
11
0-2
1-1

2- 1
2-6
2-0

1-5

o

4

12

1

37

31

33

12

130

Number of
Routine
Cases

Examined.

300

1051

410

3187

1463

1235

580

8232

School

Management

AREA.

i

New Kilpatrick

Old Kilpatrick

Vale of

Helensburgh

Total,

7.— M. Visual Acuity (Snellen’s Test at 6 Metres).

Vision shown Is " Working Vision/’ t.e* vision of better cyo. Good Vision = |] Fair Vision = a- a.

Bad Vision =

21a

SOHOOL

Management.

Area.

i

ROUTINE CASES.

Non-Routine.

Aqe 8.

Age 12.

Age 16. | Total.

j Bad
in
j One

No.

Exam-

ined.

Go

od.

Fair.

Bad.

Bad i
Eyo

One

only.

No.

Exam-

ined.

Good.

Fair.

Bad.

Bad in One
Eye only.

No.

Exam-

ined.

Good.

Fair.

Bad.

Bad In One
Eye only.

No.

Exam-

incd.

Good.

Fair.

Bad.

Bad in One
Eye only.

No.

%

No.

%

No.

0/

/o

No.

%

No.

O'

/O

No.

%

No.

%

No.

%

No.

%

No.

%

No.

%

No.

%

No.

%

No.

Of

fO

No.

%

No. 1 %

Bad.

only.

Cumbernauld,

Boys,

Girls,

57

51

40

40

86-0

90-0

2

1

3-5

2-0

2

3-5

4

1

7*0

2-0

4-5

42

46

34

34

81-0

73-9

*4

8*7

5

3

11-9

0-5

3

5

7-1

10-9

99

97

83

83

83-8

85-5

2

5

2-0

6-2

7

3

7-1

3-1

7

0

7-1

6-2

Total,

108

08

01-0

3

2-7

2

1-8

5

88

68

77-5

4

4-3

8

9-2

8

9-0

190

106

84-7

7

3-0

10

5-1

13

0-6

3

Kirkintilloch,

Boys,

Girls,

102

180

161

130

83-0

77-2

18

25

0-3

13-0

8

13

4-2

7*2

6

3

2-6
1 *7

108

173

134

134

79-8

77-5

10

19

60

11-0

17

15

10-1

8-6

7

5

41

2-9

G

12

4

10

00-7

83-3

*2

10-7

2

33-3

306

3G5

299

283

81-7

77-5

28

46

7-0

12-6

27

28

7-4

7-7

12

8

3-3

2-2

Total,

372

300

80-6

43

11-6

21

5-7

8

2-1

341

208

7S-7

29

8-5

32

9-3

12

3-5

18

14

77-8

2

li-i

2

11-1

731

582

79-0

74

10-1,

55

7-6

20

2-7

7

1

New Kilpatrick,

Boys,

Girls,

78

64

71

55

91-1

86-0

3

4

3-8

G-2

4

3

5-1

4-7

*2

3*1

54

51

49

46

90-8

90-2

1

3-7

1-9

1

3

1-8

60

2

1

3-7

1-9

0

4

4

4

66.8

100-0

1

16-6

1

16-6

138

119

124

105

90-0

88-3

6

5

4-3

4-2

6

6

4- 3

5- 0

2

3

1- 4

2- 5

3

Total, 142

126

88-6

7

5-0

7

4-9

2

1-5

105

95

90-5

3

2-8

4

3-9

3

2-8

10

8

80-0

1

10-0

1

10-0

257

229

89-2

11

4-3

12

4-6

5

1-9

4

Old Kilpatrick,

Boys, 543

Girls, 4U5

446

392

82-2

79-2

54

67

1-9

13-5

25

28

4- 0

5- 7

18

8

3-3

1-6

459

500

381

387

83-0

77-4

25

49

5-4

0-8

27

46

5-9

9-2

26

18

5-7

3-0

15

7

13

4

86-6

67-2

2

13-4

*3

42-8

1017

1002

840

783

82-0

78-3

81

no

8-0

11.0

52

77

5-1

7-6

14

20

4-3

2-5

Total,

1038

838

80-7

121

11-7

63

5-1

26

2-5

959

70S

80-2

74

7-0

73

7-6

44

4-6

22

17

77-3

2

9-1

3

13-0

2019

1023

S0-5

197

9-8

129

6-3

70

3-4

51

Dumbarton,

Boys,

Girls,

238

236

190

102

83-6

81-4

21

33

8-9

14-0

17

9

7*1

3-8

1

2

0-4

0-8

240

260

211

221

88-0

83-1

13

30

5-4

U-3

12

15

5-0

5-6

4

1.0

31

33

25

28

80-7

85-0

2

2

6-4

6-0

4

2

12-0

0-0

*i

3-6

509

535

435

441

85-5

82-4

30

65

7-1

121

33

26

0-5

50

5

3

0-9

0-5

Total,

474

391

82-5

54

11*5

20

5-4

3

0-6

506

432

85-6

43

8-3

27

5-3

4

0-8

64

53

82-8

4

6-2

6

9-4

1

1-0

1044

870

84-0

101

9-6

59

5-7

8

0-7

53

Vale of Leven,

Boys,

Giris,

248

220

108

88-7

88-0

16

18

0-5

8-0

11 .

0

4-4

4-0

1

0-4

154

146

140

123

90-9

84-2

6

12

3-9

8.2

' 8
10

5- 2

6- 9

*i

6*7

10

8

8

6

80-0

75-0

2

2

20-0
25 0

412

379

368

327

89-4

80-3

22

30

6- 3

7- 9

21

21

5-1

5-5

1

1

0-2

0-3

Total,

473

418

88-4

34

7-2

20

4-2

1

0-2

300

263

87-7

18

6-0

18

6-0

i

0-3

18

14

77-7

4

22-3

791

695

87-9

52

6-6

42

5-3

2

0-2

41

■

Helensburgh,

Boys,

Girls,

104

107

80

00

85-0

02-5

5

5

4-8

4-7

7

1

0-7

0-0

3

2

2-9

1-9

69

79

59

67

85-5

85-0

7

7

10-1

8-8

3

4

4- 4

5- 0

"i

i:2

11

13

24

9

9

81-8

69-2

1

1

9-1

7-7

1

2

9-1

15-4

*i

7*7

184

199

157

175

85-3

83-0

13

13

7-1

6-5

11

7

0-0

3-5

3

4

1-6

2-0

Total,

211

188

80-1

10

4-7

8

3-8

5

2-4

148

120

85-3

14

9-4

7

4-7

l

0-6

18

75-0

2

8-3

3

12-5

l

4-2

383

332

80-7

26

0-8

18

4-7

7

1-8

32

Total,

Boys,

Girls,

1 It'ii

la;, s

t 1235

| 1124

84-6

82-8

no

153

8-2

11-2

74

03

I 60
I 4-6

32

18

2-2

1-4

1180

1261

1008

1012

85-0

80-2

63

122

5-3

9-7

73

96

6-1

7-6

42

31

3-6

2'5

79

77

63

61

79-7

79-2

6

5

7-0

6-5

10

9

12-7

11-7

*2

2-6

2725

2696

2306

2197

84-6

81-5

188

280

6-9

10-4

157

168

5- 8

6- 2

74

51

2-7

1-9

::

Total,

2MH

,

83-7

U-7

137 j 4-8

50

1-8

2447

2020

82 -G

185

7*5

169

6-8

73

3-1

1.0

124

79-5

11

7-0

19

12-2

1-3

5421

4503

83-1

468

8-6

325

6-0

125

2-3

191 4

Speech.

23

3

o

H

a j 1

n i

20

1

6

1

a

Routine.

Per

Cent.

0-6

0-9

0-2

0-8

0- 7

1- 2
0-6

CO

o

6

2

10

1

28

11

15

4

71

Stammering.

Non-

Routine.

• • • © • •

10

<L

£

+3

o

PS

Per

Cent.

0-6

0-4

0-3

0-5

01

0-4

No.

7

14

5

6
1

33

Defective Articulation.

Non-

Routine.

14

1

2

1

18

Routine.

Per

Cent.

0-0

0-3

0-2

0-4

0-4

0-7

0-5

0-4

o

2

3

1

14

6

9

3

38

Number of
Itoutine
Cases

Examined.

300

1051

410

3187

1463

1235

580

8232

H

■

gS3

us sc

◄

Kirkintilloch

New Kilpatrick,

Old Kilpatrick,

Dumbarton,

Vale of Leven

Helensburgh,

Total

Mental Condition,

24

a-s

o

>»

a

d

a
V o
P»jO

. ®
• S-3

O-fi
^ o

O'

^ fl

<u o
PiO

. ®
c5

o -e

h a

O O

PhO

o

6

CO

6

°0

o

o

6

<N

6

o C3T3

£o~

a

C3 a
P - H

?,o«

«

00

CO

r«

o

M

•

p

•

tT

3

■g

•n

cj

o

•n

■U

p*

o

>
4 >

.G

to

ci

C

U

o

,fl

o

3

■U

c

Ml

=3

W

eJ

P«

=4

W

o

12

d

Hi

O

E

P

■§

a

s

3

ij

S*

©

2

Q

p

a

3

0)

*o

o

W

o

Q

>

w

3

O

H

r*

Heart and Circulation:

25

i

ci

. Lungs.

26

3

o

H

Non-

Itou-

tine.

3

1

8

12

24

11

at

0

Itoutlne. 1

Per

Cent.

1-9

1-7

1- 4

2- 1
1-9
4-0
1-5

c*

dl

d

S5

C

18

0

68

28

60

0

185

Asthma.

Non-

Rou-

tlno.

• • • N • • H

CO

Routine.

Per

Cent.

. -H .9 . « M

• 0 • 0 • 0 0

0-1

No.

• rH • 00 • CO OJ

rf«

r-4

m

si

Non-

3 2

■3 13
2 |

ft

d

’■3

Per

Cent.

6

rH

O

6

0

Pi

d

•••••• H

rH

4

g 3 0
5 0 o
^ Ph

• • • rH rH N •

0

3

2

Q

S3

3

H

d

3

4-3

Per

Cent.

0 03
0-06

<N

O

O

3 "

O

Ph

d

525

• • • rH rH • .

<M

.a

■4J

2

0

a

0

«

Non-

Rou-

tine.

CO rH • CO rH CO rH

N

rH

Routine.

Per

Cent.

0-3

0-3

0-4

0-0

01

0-2

0-3

No.

1

4

2

21

2

3

co

CO

•s

w

Non-

Rou-

tine.

2

10

19

9

0

0

■3

3

0

a

2

a

d

a

«_>

Per

Cent.

1-6

1-2

0- 9

1- 2
1-7
3-5
1-0

1*6

0

No.

5

13

4

38

25

44

6

135

•paujniuxft
305^3 aai^no^
jo iaqum&

300

1051

416

3187

1463

1235

580

8232

Scnoox,

Management

Area.

Cumbernauld,
Kirkintilloch,
New Kilpatrick,
Old Kilpatrick,
Dumbarton,
Vale ol Leven,
Helensburgh,

Total,

. Nervous System.

27

Tuberculosis (Non-Pulmonary).

28

CD©

zzz

;

•

•

to

CO

pH

O

pH

Total

©

£

s

0

vP

0-3

esi

6

:

0-2

0-2

9-0

0-3

0-3

f§

6

fc

pH

M

•

00

00

25

Non-

Rou-

tine.

•

•

?H

;

pH

Others,

©

a

33

0

5?

CO

©

6

90-0

00

o

6

CO

©

o

o

No.

H

PH

pH

CO

*3

C 3 °
O O O

fcpn-**

r-H

CO

00

c

e

o

T3

&

©

C

53

0

sP

CO

;

900

01

E-0

60-0

<

o

No.

pH

;

O*

<N

a

Non-

Rou-

tine.

:

OJ

»H

:

pH

**

a

o

©

S3

3

v°

0-1

0-06

0-08

0-3

00

cp

6

O

o

00

pH

rH

<M

c-

03

Non-

Rou-

tine.

pH

<N

;

CO

c

o

©

33

g

■vO

0-03

CO

o

6

<N

©

6

K

No.

PH

pH

Cl

g g ©

O O Q

•

:

Glands.

©

jo

S3

3

sO

0-2

•

0-03

00

©

©

0-04

o

tf

No.

<N

•

»H

:

pH

Rou-

tine

Cases

Exam-

ined.

300

1051

416

3187

1463

1235

} OSS

8232

ScnooL

Management

Area.

Cumbernauld,

Kirkintilloch,

New Kilpatrick,

Old Kilpatrick,

Dumbarton,

Vale of LeveD,

Helensburgh,

Total,

29

4>

a-9

11

s.

• * J M H N

<D

Total.

0>

a

Per

Cent.

0-2

0-5

0-4

0-4

0-3

p

o

■OM

2

17 .
7
6

Ol

CO

Marked.

Non-

Routine.

• • • CO r-4 *-4 •

o

Routine.

Per

Cent.

0-2

0-3

0-2

0-1

0-2 )

No.

o

11

3

2

18

Slight.

S-9

O +3
*§
Ph

• • • • • H •

r-i

Routine.

43

u> a

a> o
C-.0

0-2

0-2

0-3

1 T-0.

No.

. . . o

14

Number of
.Routine Cases
Examined.

300

1051

416

3187

1463

1235

580

8232

H

r.

w

►3 x •
o w <
Oo«
tc <

*3

Cumbernauld

Kirkintilloch,

New Kilpatrick

Old Kilpatrick

Dumbarton,

Vale of Leven,

Helensburgh,

Total,

Deformities.

30

Total.

Non-

Routine.

• • • • M H

Routine.

Per

Cent.

0-4

0-4

0-3

0-3

0- 3

1- 0

00

6

o

• to c* a \a ^ <o

CO

Acquired (Non-Rachitic).

Non-

Routine.

• • • • <N tH

t-

Routine.

Per

Cent.

0- 3
0-2
0-2
0-2
0-1

1- 0

0-2

o

• T*« rH o -T* <M O

CO

(N

• 3
§3

•

Congenital,

fi)

s

Per

Cent.

0-1

0.2

0-1

0-06

01

0-1

3

O

o

• r-l r-l CO *H C* •

00

Number of
Routine Cases
Examined, j

300

1051

416

3187

1463

1235

580

8232

School

Management

Area.

Cumbernauld,

Kirkintilloch,

New Kilpatrick

Old Kilpatrick,

Dumbarton,

Vale of Eeven,

Helensburgh,

Total,

Infectious or Contagious Diseases.

31

i

Non-
Rou- |
tine.

0

23

15

47

-*

O

i

o

H

d

i2

Per

Cent.

0-3

0-2

0-3

0-3

0-5

0-2

P

o

PS

No.

. tJ< . CO o *<* CO

■s*

04

a p d

o o a

•

a

o

§

a

Routine.

Per

Cent.

0-3

01

0-3

01

o

fc

. T* • • • tM Cl

• • • •

00

Diphtheria.

1

£

Rou-

tine.

• • • • • H *

H

Routine. |

Per

Cent.

No.

•

0)

Non-

Rou-

tine.

« • • • • H •

H

&>

Pn

O

'm

§

GQ

Routine.

Per

Cent.

0 03

H

o

6

No.

. • • fH •

. • • • • •

T— ♦

Mumps.

Non-

Rou-

tine.

c

12

0

40

©

Routine.

Per

Cent.

0-08

01

002

o

■ • • • H • H

04

O

>

3 P d

DOC

. • • CO b- CO

CD

H

a

V

o

s

o

03*

a

Per

Cent.

01

0-08

90- 0

P

O

P4

o

• • • H • •

to

tc

p

c P d
o O C

feipss

5

4

©

O

to

*04

8

d

c

Per

Cent.

01

0-2

0-1

10

-*->

p

o

PS

d

. . . CO CO Cl

CO

No. of
Routine
Cases

Examined.

300

1051

416

3187

1483

1235

580

8232

K

M

g a j

S°s

iibcrnauld, . .
kintilloch,

.v Kilpatrick,
Kilpatrick, . .
abarton,
e of I.even, ..
Icusburgh,

3

o

H

Other Diseases and Defects.

32

Previous Illnesses.

33

E

O''

14-3

14-9

141

21-8

231

28-0

24-3

21-3 |

n

40

o

No.

43

157

59

095

339

322

141

1756

£

O'

0-3
0-4
0-2
0-3
01
0 1
0-5

GO

Cu

•ox

1

5

1

12

2

2

3

co

<N

a

1 s

O

O'

1- 3
1-8

0- 4

1- 2
1-6
1-6

2- 9

1-5

S3

d

o

2;

4

19

2

40

24

21

17

127

Smallpox.

vO

O'

01

01

10

o

fe

• T-* • tO • • »

<£>

i.4

vP

O'

1- 3
7-1

2- 1

3- 8
2-6

4- 6
1-9

3-8

51

o

£

4

75

9

123

38

G7

11

317

Scarlet

Fever.

O'

o’

fc

0-6

70

6-2

80

8-2

9-4

101

8-1

20

74

20

255

121

110

59

671

Mumps.

vO

O'

23-0
20-5
23 0
28'8

40- 8
30-5

41- 5

C*

di

n

No.

71

279

90

918

598

451

241

2054

Chicken-

pox.

vP

O'

28-3

19-7

25-9

32- 4

37- 0

38- 3

33- 4

32-2

o’

A

85

207

108

1035

551

474

194

2054

■Whooping-

Cough.

sO

O'

49-0
02-8
55-2
000
71-2
60-8
02 0

62-9

No.

149

061

230

1913

1042

820

300

r-t

00

i—*

Hi

Measles.

vO

O'

70-3

77-5

72-8

80-4

84-3

80-4

75-5

j 80-7

o*

229

815

303

2505

1234

1008

438

CO

CO

No. of
Routine
Cases
Exam-
ined.

300

1051

410

3187

1403

1235

580

8232

School

Management

Area.

Cumbernauld,
Kirkintilloch,
New Kl!»atrick,
Old K. . .trick,
Dumbarton,
Vale of I.cvcn,
Helensburgh,

Total,

1

Vaccination.

34

Total.

J

ci

JS

o

o

cj

>

G

Per

Cent.

340

33-0

10-3

37-4

50-8

50-0

29-1

•

in

d>

CO

■2,1

*3

No.

102

354

68

1193

744

026

169

3256

P

5 §
8

Routine

Cases

Exam-

ined.

300

1051

410

3187

1403

1235

680

-I.

8232 1

-M

cj

S*

o £
© >
Q *

*

Age 16.

T3

O

-*-j

c3

£

o

o

c*

>

G

D

Per

Cent.

111

100

90

17-2

16-6

291

*

o

CO

rH

55 II

No.

2

1

2

11

3

7

26

1.

e com]
st year
■3%

. Routino
■ Cases
Exam-
ined.

18

10

22

64

18

24

156

Cj — •

o -e

c*£

•

ei

r-4

o

T3

O

-t-J

ci

Per

Cent.

30-7

17-0

13-3

29-8

58-7

48-0

29-0

#

»o

CO

•Increase compared
with last year =
2-5%

©

ci

>■

G

o

27

58

14

286

297

144

43

869

Routine

Cases

Exam-

ined.

88

341

105

959

506

300

148

2447

00

©

to 1

Unvaccinated.

u

^ o
PhO

27- 7
32-8
12-6

28- 5
37-5
45-2
22-2

#

o

<N

CO

•Decrease compared
with last year =
9-3%

29

122

18

296

178

214

47

904

^5 j

Routino

Cases

Exam-

ined.

108

372

142

1038

474

473

211

2S18

n

-4->

g

g

O

cj

£

Per

Cent.

44-2

53-7

22-0

52-1

61-5

59-7

36-5

*

rH

r-4

lO

•Decrease compared
with last year =
6%

o

Ci

G

o

46

172

35

009

258

265

72

1457 j

K

Routine

Cases

Exam-

ined.

104

320

159

1168

419

444

197

*— <
r-*

cc

<N

School

MANAGEMENT

Area.

Cumbernauld, ..
Kirkintilloch,

New Kilpatrick,
Old Kilpatrick,
Dumbarton,

Vale of Leven, . .
Helensburgh,

3

o

Eh

i

35

8. — Special Schools and Classes.

Special Schools. — There are three Special Schools in
the County — Waverley Park, Kirkintilloch ; Milton School,
Bowling ; and High Street School, Dumbarton.

In Waverley Park Homo, which is maintained by the West
of Scotland Association for the Care of the Feeble-minded,
there is one jnipil from the County.

Milton Special School, which serves the Old Kilpatrick
area, has three classes for Mentally Defectives, with G1 on the
roll, one Class for Physically Defectives, with 14 on the roll,
and one class for Deaf Mutes, with 13 on the roll, a total of 88.

High Street School, Dumbarton, which serves the Dum-
barton and Vale of Leven areas, has three classes for Mentally
Defectives, with 59 on the roll, and two classes for Physically
Defectives, with 34 on the roll, a total of 93.

The pupils in the Deaf Mute class at Milton are dxawn
from the whole County, except the parishes of Kirkintilloch
and Cumbernauld.

Special Classes. — (a) For Mentally Defective Chil-
dren.— Lairdsland School, Kirkintilloch, with 10 on the roll;
Bearsden Academy, Bearsden, with 12 on the roll ; James
Street School, Helensbm’gh, with 10 on the roll — total, 32.

(b) For Conservation of Vision. — Boquhanran School,
Clydebank, with 29 on the roll ; College Street School, Dum-
barton, with 23 on the roll— total, 52.

The following are the totals for the County : —

Mentally Defectives, ... ... ... ... ... 152

Physically Defectives, 48

Deaf Mutes, 13

Conservation of Vision, 52

Total, • 265

Number of Physically Defective Children in
Institutions paid for h}' the Authority, ... ... 10

Number of Mentally Defective Children in Institu-
tions paid for by the Authority, 4

Blind Persons in training under Blind Persons Act,

1920, in Royal Glasgow Asylum for the Blind (cost
of training borne by the Education Authority and
Maintenance by the Local Authority), 11

Total, ... ... ... ... ... ... 25

36

Special Appliances Supplied to Pupils. — During the
session the supply of the following special 'appliances was
agreed to by the Authority : —

Pupils

Special Boot, ... ... ... 1

Leather for Special Boots, ... ... ... 1

Special Splints, ... ... 2

Overshoe, ... ... ... ... ... 1

Leg Supports, 1

Artificial Eye, ... ... ... ... 1

Artificial Leg, 1

9. — Arrangements for Physical Education and Personal

Hygiene.

A. Physical Exercises. B. Baths. C. Practical Instruction

in Hygiene.

There has been, no change with regard to the above
(See Annual Reports, 1914-15, page 72 ; 1919-20, page, 41 ;
1920-21, page 38 ; and 1927-28; page 37).

10. — Feeding of School Children.

There were no meals supplied in Cumbernauld, Kirkin-
tilloch, New Kilpatrick, Old Kilpatrick, Dumbarton, or Vale
of Leven areas.

In Helensburgh, dinners were supplied to the children at
Clyde Street Soup Kitchen for about a month last session.
The cost was provided from a private school fund, which is
now exhaus ed. The approximate number of pupils supplied
per day was 30, and the approximate number of meals supplied
was 600.

X-RAY Treatment of Ringworm.

During the session nine children were treated for Ring-
worm of the Scalp by X-Rays at Whitecrook Clinic. The
other thirty cases of this disease seen during the session were
either successfully treated by local medication, or were cases
whose parents refused permission for X-Ray treatment.

37

Employment of Children.

The number of Licences applied for and granted under
the Employment of Children Act, 1903, was as follows : —

Cumbernauld,

Granted.

3

Refused.

0

Total.

3

Kirkintilloch,

22

5

27

New Kilpatrick, ...

33

0

33

Old Kilpatrick,

99

3

102

Dumbarton,

31

1

32

Vale of Leven

24

1

25

Helensburgh,

16

1

17

Total,

228

11

239

11.— ARRANGEMENTS FOR MEDICAL TREATMENT.

See Annual Report, 1927-28, pages 38, 39, and 40. The
new Clinics in Twechar, Croy, and Alexandria have been in
use during the greater part of the session and have been found
most satisfactory.

Treatment of Minor Ailments

•*>

S

3

U

o

2

o

a

a

s

OJ

•V

a

*o

rt

•a

&

a

a

P-<

5

O

a

H

2

2

a

<

•M

o

2

3

.a

So
*Js 2

8

o

«

District

Nurse.

ber of
with.

14

>

O

o

u,

3

03

s

8

T3

a

cS

•*9

a

s'

a

03

9

3

o

C

a

p

3

|

Ci

>»

o

£

(4

c3

3

&

&

iz;

H

H

w

«3

o

Kirkintilloch,
Cumbernauld,
(Cumbernauld, S.

Muirhead Arns,
Southern District,
Condorrat)

C. Jeffrey,

955

4918

68

126

182

4

67

645

57

New Kilpatrick
Old Kilpatrick

194

1054

20

37

12

••

10

145

136

27

(Landward),

308

2362

78

84

50

10

29

83

Cumbematdd
; (Drumglass and
| Croy)

J. Scott,

229

1221

2

33

18

1

10

174

26

i Old Kilpatrick,
(Clydebank, Elgin

Street, Our Holy
1 Kcdcemer)

S. Dougherty,

826

2401

45

48

137

160

106

326

37

i Old Kilpatrick,
' (Radnor Park,

Boqubanran,
1 Dalmuir, St.
Stephen's)

E. Lyle,

520

1488

115

50

57

12

114

253

84

Dumbarton,

(Academy, Knox-
land, College
Street, High
Street, St.
Patrick’s)

31. Gilmour,

576

1272

17

78

43

...

92

311

130

Dumbarton, (West

Bridgend, St.
Patrick's High,
Clcrkhill),
Helensburgh,

E. Stevenson,

187

439

3

46

9

39

65

74

Lcvcn Clinic.

234

419

..

38

11

• •

24

108

91

Vale ol Leven,

E. Yule,

1128

4077

64

102

60

10

83

676

299

Total,

i 6157

119651

412

680

679

197

634

2839

908

Throat, jNose and Ear Clinics.

39

s

o

H

© UO »fi OI

^ i- c*- ©

CM

CO Ol l>-

£ *“
O

^ ^ It ^ ira 00 ^ »-o

OiOO«HH Ol O —» oi
*H ITS h CO 04 to

lOHN • •
■Mr rH CO • •
N

Total.

1 Pre-

School School

\n © ■«* »o
oOoooor^

CM

04 • •

l"* • rH •

<M CO CO Is- CO rH t>- o 01 CO

HlO Hst r-4

86

5

o o o

rH t'- t'- 4-0
NOOO
04

rH 04 CO

S ®

OWOOW'f OOClifJN

OOOsJOhOhhO

to 04 rH o rH

653

11

82

d

1 Total

lOOON

OOO

coco CON

2G7

32

1

OHOWNtCH O^N
•V -* CO H O N i(3 H ifl

CM r-4 04

•*© 04 • •
© ■<* • .
04

£

ei

a

3

Q

Pre-

School

© rH rH CO
CO CO CO CO

?H

N •xjt •
Ol •

h* 04 04 • L.O • lO o rH CO
04 • .H • 04

~h *04 • •
CO •

School

© © © ©
O © © ©
CO 04 CM o

240

28

1

o o CO CO Cl 'O O ‘O CO H
CO >h Ol H rj* CO CO H O
04 rH 04

CO © o • •

© TJ< • •

04

A

o

o

Total

lO h* o
04 rH .h Ol
HHHCO

00 rH ^ <H
O -H

rtxJiOlNO • i.o O • rH

rH rH rH 04 * 04 • rH

03 0 0 • •

© 04 • •

rH

a

■*->

2

t-i

Prc-

School

CO CO coo

CO • • •

•CO • CO CO • • • • CO

CO • • • •

w

School

©■iHrlH
CM rH — 4

■HHHCO

UO rH H

03 rH

lOrHOJr*© • lO © • 00

rH r. H 04 *04

© O LO • •

© 04 • •

rH

Clydebank.

Total

CO Ol o 00
ei'f’to
CO CO CO CO

rH

308

1

31

2

04 -h oi co io C3 © © co

© O © 04 Ol Ol© IO

50 rH rH 04

342

20

Pre-

School

CO Ol O CO
Tt< lO to CM
rH

42

io

CCC0©'rfOrH01©rH01
04 CO rH 04 r-

Ol • CO • •
o • • •

School

O O O O
cDocir-
CM CM Ol Ol

266

1

21

2

-*:0©©i0C0H<O04i0

lO N O rs O HN

04 r-« 04

200

17

Number of Children examined . .
Number of Children operated on ..
Attendances with Ambulance . .
Home visits for after-care

Nature of Operations —
Excision of Tonsils and Adenoids . .

Excision of Tonsil3 only

Excision of Adenoids only
Others

Causation —

Discharging Ears

Tonsils much Enlarged

Deafness

Obstructed Breathing and Deafness

Obstructed Breathing

Rhinitis

Tonsllitis

Enlarged Glands

Bronchitis

Various

Results —

Progress definite and rapid

Progress retarded

Still on the books

Sent to Hospital

Died

Dental Treatment,

40

Ophthalmic Treatment of School Children.

41

T°tnl Number of Children Examined — 901.
lotal Number of Spectacles supplied — 6SQ.

Ophthalmic Treatment of School Children— Continued.

42

43

Report by School Nurses.

cn

a

12

nber of Children
examined.

13

6

&

si

a

y—K

•M

o

t-$

9

£>

B

of Visits to Paren
or Schools.

•o

2

«

X

c

1

&

o

or Nits on body.

i

Q

s

Pi

B

CO

to

1

B

O

U

t

3

P

ki

a

9

to

B

O

O

(£4

Wt

0

0

District.

Nurse.

a

ft

a

m

*

■a

&

B

a

i

5

Li

V

1

o

3

a

4J

d

00

C

§

H

&

*

>

>

P

p

°

Kirkintilloch,

(Cumbernauld, S.

1

Muirhcad Arns,
Southern Dis-

C. Jeffrey,

317

1425

72

157

ll

137

. 12

••

- i

trict, Condorrat)

45

148

18

20

3

21

1

..

•• !

New Kilpatrick,
Old Kilpatrick,

09

482

'40

74

10

10

7

3

1

(Landward),
Cumbernauld
(Drumglass and

J. Scott,

176

988

94

147

44

33

28

12

1 !

Croy)

51

254

14

43

12

5

12

13

1

Old Kilpatrick,
(Clydebank, Elgin
Street, Our Holy
lted comer)

S. Dougherty,

538

2615

69

206

23

251

22

7

44 i

Old Kilpatrick,
(ltadnor Park,

lSoquhanrau, Dal-

E. Lyle,

260

1543

74

116

11

68

6

5

31

muir, St.
Stephen's)

•

Dumbarton,
(Academy, Knox-
land, College
Street, High

M. Gilmour,

409

1289

79

290

49

16

38

14

30

Street, St.
Patrick's)

Vale of Levcn,

E. Yule,

300

1406

103

220

16

30

62

15

10

Dumbarton, (West

Pridgend, St.
Patrick's High.

E. Stevenson,

302

1319

48

223

36

56

2

4

40

Clcrkhill),

Helensburgh,

167

804

73

92

19

60

1

3

29

Total,

2664

12273

684

1588

234

687

191

76

187

44

EDUCATION AUTHORITY OF THE COUNTY OF
DUMBARTON.

MEDICAL INSPECTION AND TREATMENT OF SCHOOL

CHILDREN.

HISTORY OF THE MOVEMENT.

By the Act of 1908 Secondary Education Committees
were given poAver to arrange for the systematic medical exam-
ination of school children.

In 1909 my predecessor (Dr. J. C. M:Vail), then County
Medical Officer, was asked by the Secondary Education Com-
mittee to submit a scheme for the County. This scheme,
which included all the Burghs as well as the County Landward
areas, suggested the appointment of two Medical Inspectors
and a nurse with the County Medical Officer as Supervising
Officer.

After some considerable discussion the scheme was adopted
and finally approved by the Scottish Education Department.

It was not, however, until March, 1911, that the Medical
Inspectors were appointed.

The approved s'heme arranged for the division of the
geographical County into two areas, the Eastern area to include
all schools in the Cumbernauld, Kirkintilloch, New Kilpatrick,
and Old Kilpatrick parishes with the exception of Duntocher
Public School, Ga vinburn School, Milton School and Duntocher
St. Mary’s School. These were included in the Western Area.
The Western Area included all schools in the parishes of Arro-
<ffiar, Bonhill, Cardross, Dumbarton, Kihnaronock, Luss,
Roseneath, Row, and the four schools in West Kilpatrick
Parish previously referred to.

The Original Scheme. — The scheme itself was as follows
and I give it here because it is still the basis of the Inspection
■work, with, of course, certain modifications : —

45

(1) Weekly engagement lists are sent by the Medical

Inspectors to the Medical Supervisor.

(2) The Medical Inspectors notify (a) H.M. Inspector of

Schools, (b) The Clerk to the School Board, and
(c) The Head Teacher, of their intended visit,
specifying the day and hour, the number of children
to be examined, and other relative information.

(3) The Head Teacher on receipt of this information

sends to the parents of the children to be examined
forms inviting the parents to be present at
the inspection, with a series of questions relating
to previous illnesses, etc.

(4) The information so obtained is entered on a special

record card, kept in the school, on Avhich also is
entered the results of the Medical Inspector’s exam-
ination.

(5) Routine inspection should take place at the ages of

5, 7, 10 and 13. (This was subsequently modified
to 5, 8, 12 and 16).

(6) Non-routine Inspection has reference to any child

brought specially to the notice of the Medical
Inspector by the Head Teacher or otherwise and
entries are to be made on a special card.

(7) The record cards are to be forwarded to the Medical

Supervisor's Office after each inspection, where
the details are abstracted for tabulation. The
cards are then returned to the school.

(8) If any child appears to the Medical Inspector to be

physically defective, a notice is issued bv the
Medical Inspector calling the attention of the
parent and advising the calling in of a cl ctor. The
condition is intimated to the teacher and a reply
post card is sent for the parent to hand to the private
practitioner, on which he intimates that the child
has been brought to him for treatment.

In certain diseases or conditions a printed card is
also sent to the parent or guardian giving instruc-
tions and calling attention to the necessity for
immediate treat uent.

(9) In verminous cases a card is sent giving instructions

as to cleansing. If this is ignored a second warning
card is sent and if no improvement occurs a notice
is sent to the School Board in order that they may
deal with the case in accordance with the Education
Act or the Children Act.

46

This was the original scheme, which has been added to
and modified as occasion arose.

In 1911 a nurse was appointed, her duty being to
follow up defective cases and enter her visits on sheets
which were forwarded to the Medical Supervisor from time to
time for his information.

Treatment Schemes. — It was, of course, obvious that the
scheme could not finish at that point but that some form of
treatment must follow.

Certain of the School Boards started Treatment
Schemes during the years 1912-1914. These were Bonhill,
Dumbarton, Old Kilpatrick, New Kilpatrick, and Kirk-
intilloch.

In 1914, after much consideration and negotiation, 12
out of 14 School Boards in the County came to an agreement
for a joint scheme, the dissenting School Boards being Bon-
hill and Cardross.

The proposal was to equip 6 centres for the treatment of
defective vision and 6 centres for the treatment of dental
defects and to arrange outwith the County for the treatment of
any urgent case of enlarged tonsils and adenoids. The
whole scheme was staffed by part-time officers.

At that time the only School Board not providing
some form of treatment was Cardross.

A great deal of interruption took place in the various
treatment arrangements owing to the war and the totally
inadequate nature of these arrangements was specially
referred to on page 18 of the Annual lleport for 1914-1915.
However, everything was at that time in the stage of
transition. (Pages 81 to 88 of the same Report show the
nature of the forms in use at the time and a statement is
given as to their method of use).

The question of the treatment of cases of enlarged
tonsils and adenoids and ear diseases occupied the attention
of the Committee during the year ending July, 1916, but it
was not until April, 1917, that a start was made in Clyde-
bank, there being 32 examinations carried out during that
year and 25 operations. The operations were carried out by
Dr. Kerr Love and the musing was done by the staff of the
Clydebank Nursing Association.

In the Report for the year ending 31st July, 1917, page
49, appears the first real attempt to co-ordinate the work
which had been go ng on in a spasmodic manner and
here are found the charges and the fees to be paid, and,
although these are now very much changed, the arrangements
then made were used as the foundation for our present scheme.

47

PRESENT SCHEMES.

Tho advent of the Education Authority under the
provisions of the Education (Scotland) Act, 1918, with
the abolition of the School Boards acting individually, made
the advance in the work almost meteoric in comparison with
the previous ten years of difficulties.

Without detailing the order in which the arrangements
became altered, I will now sat forth the existing schemes.

Medical Inspection Scheme. — There are still only two
Medical Officers for inspection work and the areas are the same
as at first, with the exception that Castlecary School was
taken over by Stirlingshire and Oswald Combination School
and Temple School were absorbed by Glasgow.

The forms in use are the same with the necessary modifi-
cations due to the altered Committees, etc., and the following
are additional : —

(1) Forms relating to Physical Deficiency as related to

Gymnastic Exercises in Schools.

(2) Forms relating to Mental Deficiency and the certifi-

cation of such cases.

In place of one nurse the County is now divided into
seven areas, inspected by seven trained nurses who follow up
defec ive cases and cases requiring treatment who have not
accepted the treatment offered.

The only extra inspection work is that carried out by
the whole-time dentists, appointed under the Dental Treat-
ment Scheme. The purpose of this examination is to feed
the respective Clinics.

Medical Treatment Scheme. Dental Treatment.—
The staff consists of three wholetime and one part-time
dentists, as follows: — Mr. Martin, L.D.S., Miss Vera Pugh,
L.D.S., Miss E. M. M‘Kendrick, L.D.S., and Mr. Wydner,
L.D.S. (part-time). To each of the wholetime dentists is
attached a dental attendant for clerical work and general
assistance in the Clinic work.

The County is divided into four divisions, viz. : — .

(1) Dumbarton S.M.C. area and the populous portion of

the Vale of Leven S.M.C. area.

(2) Clydebank Burghal area.

(3) Kirkintilloch Burghal area.

(4) The remaining schools not included in the above.

In area No. 1 the actual schools dealt with are : — Dura-

43

barton Academy ; Notre Dame R.C. High ; St. Patrick’s
R.C. High ; Knoxland ; College Street ; West Bridgend ;
St. Patrick’s R.C. — Boys and Girls, and High Street Special
School. Vale of Leven Academy ; Renton ; Main Street,
Alexandria ; Bonhill ; Jamestown ; St. Mary’s R.C. and St.
Martin’s R.C. The child population in this area is 8,G40.

The work is carried out in two fixed clinics : —

(1) Old Academy Buildings, Church Street, Dumbarton.

Specially fitted Clinic.

(2) Welfare Clinic, Bank Street, Alexandria. (N.B.

This Clinic is the property of the Western District
Committee and the Education Authority pay £20
per annum for the use of the premises on certain
days for dental and general clinic work.)

In area No. 2 the actual schools dealt with are : — Clyde-
bank High ; Dalmuir ; Clydebank R.C. ; Clydebank Public ;
Elgin Street ; Radnor Park ; Boquhanran, and St. Stephen’s
R.C. The child population is 9,337.

The work in this area is carried out in the Whitecrook
Clinic , specially built and fitted.

In area No. 3 the actual schools dealt with are : — Lenzie
Academy ; St. Ninian’s R.C. ; Townhead ; and Lairdsland.
The child population is 2,846.

The work in this area is done in Lairdsland School. The
Glinic is not very satisfactory as the room is used for other
purposes. At present the dentist here is a part-time official.

In area No. 4 the actual schools dealt w ith are : — Hermi-
tage ; Clyde Street and James Street : Arrochar ; Ivilcreggan ;
Roseneath ; Garelochhead and Glenmallonside ; Shandon ;
Rhu ; Glendouglas ; Ardlui ; Cardross ; Glenfruin ; St.
Joseph’s R.C., Helensburgh ; Luss ; Muirland ; Axdoch
Bridge ; Croftamie ; Duntocher ; Gavinburn ; Stilton ; St.
Mary’s R.C., Duntocher ; Bearsden Academy ; Milngavie
Public; St. Joseph’s R.C., Milngavie; Craigton ; Drum-
chapel ; Twechar ; Gartconner ; Cumbernauld ; South Muir-
head Arns ; Drumglass ; Southern District ; Condorrat ;
and Holy Cross R.C., Croy. The child population is 6,212.

The work is carried out in four specially fitted clinics in
schools at Helensburgh, Milngavie, Duntocher, and Twechar.
Children who attend schools which are not readily accessible
to these clinics are dealt with by means of a travelling clinic,
which is taken from school to school as required. The accom-
modation used on these occasions is either a classroom, the
teachers’ room, a cloakroom, or some other available
room which is not in use.

49

The clinics are supplied with patients in three ways : —

(1) By routine inspection of age groups by the dentists,

who select cases for treatment.

(2) By routine inspection by School Medical Officers who

refer cases requiring urgent treatment to the den-
tists.

(3) By emergency cases, i.o., cases complaining of tooth-

ache which are sent to the clinics bjr parents or
head teachers.

In dealing with individual children conservancy treat-
ment is aimed at and the percentage of such treatment has
been increasing in past years. The numbers of extractions
have, on the other hand, been falling, which is only right.

The actual procedure is as follows— On inspection M.T. 1
forms are filled up by the School Dentists or otherwise and these
are forwarded to the Clerk of the School Management Com-
mittee who issues form M.T. 3 which the parent or guardian
is required to sign and return if they desire the child referred
to, to be treated. If free treatment, or treatment at a reduced
rate, is desired the statement of income on the back of the form
must be filled in. On receiving acceptances the Clerk to the
School Management Committee is in a position to call up cases
at specified times to suit the dentist, or the dentist calls up
cases in rotation. The exact method of doing this varies in
different areas. In the Clydebank area, for example, the
method is not quite so simple as that in other areas.

The dentist reports to the Clerk to the School Management
Committee when the case is completed giving details of the
work done so that charges may be made Avhere necessary.

It happens from time to time that children are either not
amenable to the dentist’s chair or have so much to be done
in the way of extractions that it is better to give a general
anaesthetic and during the session certain anaesthetic days
are arranged, the anaesthetist of the Adenoid and Tonsils
Clinic attending with a nurse. These days coincide as far as
possible with the Tonsils and Adenoids operation days at the
Clinics.

There is co-operation between the Education Authority
and the District Committees and Town Councils in so far as
the dental treatment of pre-school children is concerned,
although the Authority did not, however, see their way to
arrange for the treatment of expectant and nursing mothers.

The school nurses do not assist the dentists except in so
far as mentioned above in connection with general anaesthetic
cases.

no

Tkeatment of Eyk Defects and Diseases. — It was
originally intended that all children should be examined by
the School Oculist on their entry into school life. This would
have entailed the examination of all children by means of
retinoscopy and had this been carried out the condition of our
school children's eyes might have been better to-day than they
are.

For this purpose a whole-time Oculist was appointed in
1921 but for various reasons the Authority altered the scheme
and the terms of appointment of the Oculist. Thus there is no
complete scheme of examination and treatment in force.

; The existing staff consists of a part-time Oculist, who is
assisted by the nursing staff at the various clinics.

There are five centres at which treatment is carried out,
as follows : —

Dumbarton, Old Academy Buildings — Specially fitted
clinic.

Ctydebank, Whitecrook Clinic — Specially constructed
clinic.

Kirkintilloch, Lairdsland School — In schoolroom.

Milngavie, Public School — In schoolroom.

Hermitage School, Helensburgh — In specially fitted
medical room.

At these clinics the Oculist may either prescribe spectacles
or other forms of treatment. The procedure is as follows.
When the Medical Officers during their routine, or non-routine,
inspections find children suffering from eye defects or diseases
the names of such children are entered on an M.T.l form and
forwarded to the Clerk to the School Management Committee
concerned who issues to the parents or guardians M.T. 2 forms
offering treatment. These forms, when completed, are con-
sidered by the School Management Committee with a view to
determining the degree of necessity, if any. Thereafter the
children are drafted to the clinics for treatment.

When spectacles are prescribed, the Oculist forwards the
prescription to the School Management Clerk, who sends them
on to the optician. The completed spectacles are sent to the
Clerk who either intimates to the parents that the spectacles
should be called for, or, in the case of certain School Manage-
ment Committees where the parents live at a distance, the
spectacles are sent to the schools and delivered to the child
by the head teacher. In the Kirkintilloch area they ar
delivered by the attendance officer.

Children are advised by the Oculist to return to the clinic
with the spectacles after they have worn them for about a

51

fortnight and if anything goes wrong with them at any time
to take them to the clinic.

TheModical officers in their routine visits observe whether
glasses continue to be suitable or whether some change is
necessary. Arrangements are also made for the repair of
broken spectacles.

In the case of children requiring other treatment the
method of treatment is prescribed by the Oculist and the
actual treatment is carried out bv the school nurses at the
clinics for minor ailments. These children are seen by the
Oculist at intervals until recovery takes place.

' Pre-school children are also dealt with at these clinics.

It is also the duty of the Oculist to visit from time to time
the classes for high myopes and to assure himself that the
arrangements there are satisfactory. There are two such
Glasses, one in College Street School, Dumbarton, and the
other in Boquhanran School, Clydebank.

The School Oculist also visits schools from time to time
to see special children, more especially in areas where there
are no facilities for teaching high myopes in special classes.

It is also the duty of the School Oculist to report on blind
adults or children requiring further teaching or training under
the provisions of the Blind Persons Act, 1920.

An arrangement is in operation for the treatment of chil-
dren where necessary in the Glasgow Ophthalmic Institution,
and where an eye has had to be removed the Authority supply
an artificial one if the School Oculist considers that course
desirable in the interests of the patient.

The charges for treatment at Ophthalmic Clinics will be
found in the section relating to fees, charges, and scales of
necessity.

Treatment of Enlarged Tonsils and Adenoids and
Ear Diseases. — The Staff for this work consists of a part-
time surgeon (Dr. Kerr Love) assisted by an anaesthetist
(who is selected from a rota of general practitioners in the
neighbourhood), with certain of the school nurses.

The operations take place in specially fitted clinics at Dum-
barton, Clydebank, and Kirkintilloch ; at Dumbarton every
Monday morning ; at Clydebank every Wednesday morning
except the first Wednesday of every month and also the fifth
Wednesday (where five Wednesdays occur in any month),
when the operations are at Kirkintilloch.

After operation the children are retained in a specially
fitted ward over night. They are visited in the ward during
the evening by the medical practitioner who has acted as

52

anaesthetist, and when it appears necessary they are visited at
intervals until they are removed home on the following day.
There are two nurses on the premises during the night, one on
full night duty and the other sleeping there to be on duty in
case of emergency.

At Dumbarton and Clydebank the children are taken
home by two nurses in the Education Authority’s Motor
Ambulance, which has special arrangements fitted to allow of
the children being in a recumbent position. In Kirkintilloch
arrangements are made with a hiring contractor for a convey-
ance and a nurse also accompanies the children.

. After the child has been returned home the nurse for the
area in which the child lives visits from time to time and
watches its progress.

On taking the child home a notice is left advising the
parents to call in a medical man if haemorrhage should occur.
In the event of such an emergency occurring the Education
Authority pays the doctor’s fees at the rate of 3/- per day visit
and 6/- per night visit.

After recovery from the operation the children are seen by
the Medical Officers in the schools at routine or non-routine
visits.

In the case of ear diseases, although no operations are
undertaken at the Clinics arrangements are made for treatment
of the child in Glasgow and the after-treatment may be carried
out at the school clinics if required.

At each meeting of these operation clinics the Surgeon
examines further cases and decides as to the form of treatment
desirable. The children who are examined are recommended
by the School Medical Officers or by general practitioners.

Treatment of Certain Skin Diseases. — In order to
cope with such diseases as Eczema, Impetigo, or other con-
ditions requiring prolonged treatment, clinics were established
in the following centres, viz., Helensburgh, Dumbarton,
Alexandria, Clydebank, Milngavie, Bearsden, Kirkintilloch,
Cumbernauld, Croy, Duntocher and Twechar.

In the three big centres, Dumbarton, Clydebank, and
Kirkintilloch, the work is done in the special clinics. In
Helensburgh and Alexandria the Child Welfare Centre is used,
while in the others accommodation is found in schools. This
latter accommodation varies, in Twechar, Milngavie, and Dun-
tocher the room being specially reserved for that purpose,
while in the other schools accommodation is found in any suit-
able room.

yhese cUnics are also used for treating such conditions

H /.

53

minor school accidents and for continuing treatment pre-
a f .lx-d hy the Oculist or other Specialist employed by the
Vithority.

X-Ray Treatment — In order to minimise the loss of atten-
dances in cases of Ringworm or Favus, a special clinic was
-quipped with X-Ray apparatus in Clydebank, to serve the
hole County. D.\ Goodwin Tomkinson, Glasgow, was
*pp tinted as Skin Specialist and he is assisted by the Medical
( *:!k iT8 and nurses as required.

A Deans tube is in use and has given satisfactory results.

Ringworm is also treated by Ethyl Chloride if X-Rays
«re not considered suitable for any reason.

Forms in Use. — The forms in use for all Treatment Clinics
•.re the same, with the appropriate modification, as those
d-s ribod under Dental Clinics.

Orthopaedic Treatment. — Although as yet no such
< linics have been arranged for, certain orthopaedic work is
undertaken in the way of supplying appliances to enable chil-
dren to attend school.

The appliances are made either by a selected surgical
instrument maker or by arrangement with the Sick Children’s
Hospital, Glasgow.

Other Forms of Treatment. — It has been possible to
make arrangements for the provision of Ultra-Violet Ray
treatment in certain areas of the County.

The Western District Committee have agreed to treat
hool Children at their Child Welfare Clinic in Alexandria,
ais will apply to any child from the Western District, however
■1 »Unt. The charge is 2/6 per treatment.

The Town Council of Dumbarton has agreed to treat any
r!,|ld attending the Dumbarton Burgh schools at a similar
•Targe.

'J he Committee of the Blav rthill Joint Hospital have
i/o-cd to treat any child from 'he Clydebank Burgh area
'n a served by the Hospital) at 2s per course of 12 weeks,

* *th two attendances per week : if less than 12 weeks the
*. irge to be 2/6 per attendance with a minimum charge of

t i oh (id (8 attendances). If the child is resident outside the
lr’ * served by the Hospital, the charge to be £2 16s Od per
•roe as above.

It has not been possible to make any arrangements for

* - h treatment in the areas east of the City of Glasgow.

•Scale of Charges. — The following are the scales of
-•■ -‘•«iity and charges adopted by the Education Authority

54

for all cases apply! hg for treatment under the Scheme ' c

Where the family income does not exceed : —

and so on, allowing 2/6 for each additional child, treat-
ment may be provided free.

Where the family income exceeds the above Scale of
Necessity, but does not exceed double that scale, the
following charges shall be made : —

Eye Treatment : — Spectacles at special contract rate.
Dental Treatment : — Od for first tooth treated, and 3d
for each additional tooth treated. Where general
anaesthetic is administered (to include treatment)
• 2/6. i!

Adenoid and Tonsil Treatment 5/- l: “ -

X-Hay Treatment of Ringworm — 5/- ■ >

Other Skin Treatment (Ringworm and Favus)— 2/6
Ultra-Violet Ray Treatment— 9d to 1/3 per treatment.

Where the family income exceeds double the above scale,
the following charges shall be made : —

Eye Treatment : — Spectacles at special contract rate.
Dental Treatment — 8d for first tooth treated, and Ad
for each additional tooth treated.

Where general anaesthetic is administered (to include
' treatment) — 4/-

Adenoid and Tonsil Treatment— 7/6 to 10/-.

X-Ray Treatment for Ringworm — 7/6 to 10/-.

Other Skin Treatment (Ringworm and Favus) — 2/6.
Ultra-Violet Ray Treatment — 1/6 to 2/- per treatment.

In connection with co-operation with the Public Health
Local Authorities for the treatment of Pre-school children
the following charges have been arranged : —

Adenoids and Tonsils— £1 per case.

Eye Treatment — No charge to be made for services of
Oculist, but spectacles to be provided at contract
prices.

Dental Treatment — 8d for first tooth, either extraction
or filling, and 4d for each tooth thereafter.

Skin Diseases (Including Ringworm and Favus) — When
treated by X-Rays the charge to be at the rate of
£1 10 J- per case ; where treatment is given without
X-Rays the charge will be 10/- per case.

88 College Street, 1 • . • V •

Dumbarton, May, 1929.

For 2 adults and 1 child,

£1 15 0

1 17 6

2 0 0

do. 2 children,

do. 3 children,

55

INDEX

Preface!, ... ... ...

Administration,

Average Heights and Weights,

Cleanliness of Head and Body,

Clothing,. Sufficiency of.

Co-ordination with Public Health Service
Dofects —

Dental,

Hearing,

Mental,

Speech,

Visual,

Deformities, ...

Diseases of —

Ears,

Eyes (external),

Heart and Circulation,

Lungs,

Lymphatic Glands, ...

Nervous System,

Nose,

Skin,

Throat,

Employment of School Children,

Feeding of School Children, ...

Footgear, Sufficiency of.

Infectious or Contagious Diseases,

List of Staff, ...

Medical Treatment at Clinics,

Medical Treatment Scheme,

Number of Schools,

Number of School Children,

Number of School Children Examined,
Number of Special Visits,

Nutrition,

Other Diseasos and Defects,

Personal Hygiene,

Physical Education of School Children,

• PAGE

3

..: : : i.. . • ... 6

;.v • • 10a

... . 12

... r...i: ... 9

... ... ... 6

• . i , f

15, 40

22

24

23

... ... ... 2)a

30

21

20

25

... ... ... 20

19

27

16

... ... ... 15a

17

37

... ... ... 3 b

10

31

4

38

44

6

6

8

6

14

32

30

... ••• 36

56

Previous Illnesses, ... ...

Rickets, ... ... ...

Ringworm, X-Ray Treatment,
Sanitary Condition of Schools,
Special Schools and Classes,
Spectacles Supplied, ...
Tuberculosis (Noil-Pulmonary),
Vaccinations, ...

Visual Acuity,

33
29
36

6

35

41

28

34
21a